Download EMPLOYMENT APPLICATION (Please Print) - Woody`s Bar-B-Q

EMPLOYMENT APPLICATION (Please Print)
Name
Date
Social Security #
Last
First
MI
Street
city/state zip code
Telephone #
Address
Former address
How long?
Position(s) applied for
Available for work date
Are you available to work overtime? ( ) yes ( ) no
State age if under 18
Do you want to work: [ ] full time [ ] part time (preferred days and hours)
Referred sources: [ ] Advertisement
Terms
[ ] agency [ ] friend/family [ ] walk in [ ] other
Have you ever applied or been employed by the company? [ ] yes [ ] no if yes, please list job and date
List any friends or relatives currently employed by this company
EMPLOYMENT DATA:
Begin with your present or last job and sate experiences over the past five years. Include military assignments, part-time
and/or volunteer service. Attach separate sheet if necessary.
Are you employed now? [ ] yes [ ] no
If yes, may we contact your present employer: [ ] yes [ ] no
If no, explain why
Company Name
Telephone
Company address
Name of supervisor and title
Employed (Month/Year)
Salary start
last
State title and describe your work
Reason for leaving
Company Name
Telephone
Company address
Name of supervisor and title
Employed (Month/Year)
Salary start
State title and describe your work
Reason for leaving
last
Company Name
Telephone
Company address
Name of supervisor and title
Employed (Month/Year)
last
Salary start
State title and describe your work
Reason for leaving
School
High school
Name and Address
Course of Study
Dates Attended
Degree/Diploma
College
Other
Are there any experiences, skills or qualifications, which you feel would equip you to work for the company?
Drivers license number
State of issue
Expiration date
Are you a veteran of the U.S. Military Services? [ ] yes [ ] no If yes, name branch
Have you ever been convicted of a felony within the last 7 years? [ ] yes [ ] no conviction is not necessarily a
disqualification. If yes, please explain
Person to be notified in case of emergency
Name
Relationship
Address
Telephone
AGREEMENT
I CERTIFY ALL STATEMENTS GIVEN HEREIN ARE TRUE AND COMPLETE. IF EMPLOYED, I UNDERSTAND THAT FALSE OR
MISLEADING STATEMENTS GIVEN IN MY APPLICATION OR INTERVIEW MAY RESULT IN TERMINATION, REGARDLESS OF
THE TIME THEY ARE DISCOVERED.
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THE APPLICATION AND ANY ATTACHMENTS FOR
EMPLOYMENT AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION. I HEREBY RELEASE THE COMPANY
AND ALL PERSONS AND ORGANIZATIONS, FROM ALL CLAIMS AND LIABILITY OF ANY KIND ARISING FROM SUCH
INVESTIGATION OF THE SUPPLYING OF INFORMATION AS PART OF SUCH PROCESS.
I UNDERSTAND THAT WOODY’S BAR-B-Q IS A DRUG FREE WORK PLACE AND THAT MY EMPLOYMENT OR OFFER OF
EMPLOYMENT MAY BE CONTINGENT UPON SUCCESSFULLY PASSING A DRUG TEST PRIOR TO EMPLOYMENT. I FURTHER
UNDERSTAND THAT ANY TIME DURING MY EMPLOYMENT IF A DRUG TEST IS GIVEN AND IS FAILED; IT WILL BE CAUSE
FOR TERMINATION OF EMPLOYMENT.
I UNDERSTAND THAT I AM REQUIRED TO ABIDE BY ALL RULES AND REGULATION OF THE COMPANY.
I UNDERSTAND AND AGREE THAT IF EMPLOYED, MY EMPLOYMENT WITH THE COMPANY IS AT WILL AND THAT NOTHING
CONTAINED IN THIS APPLICATION IS INTENDED TO PROMISE OR GUARANTEE EMPLOYMENT FOR ANY SPECIFIC TIME.
Signature of applicant
Date
FOR COMPANY USE ONLY
Interview Comments
Interviewer
Salary
Date